True, true.
I found that the drop in clinics worked better when I introduced them in an NHS setting in a former life also.
We have more problems with the numbers of health care students, and as previous posters have indicated, some of them don't seem to have a grip on the importance
of compliance. We have to sort out their VZV, BCG, MMR and Hep B status and it inevitably takes longer. This added to academic / lecture requirements we have to allocate them appointments.
I could go on for ages on this topic!
Regards
Heather Bearpark
Occupational Health Manager
RN, Specialist Community Public Health Nurse (OH), Cert IOSH
University of Huddersfield
Tel
+44 (0)1484 47 1800
Fax +44 (0)1484 47 3360
heather.[log in to unmask]
www.hud.ac.uk/oh
Hi Heather,
thank you for the information, this is useful, as hte difference in courses seems to be a hot topic in the NHS at the moment.
Our Trust is keeping the longer course at this time, but we do have issues with staff completing the course and attneding for their bloods at the right
time.
We no longer have appointment slots for vacc, but run 3 walk-in clinics per week, which have greatly reduced our DNA rates.
I would be very interested in the age variable for response to vaccine, but appreciate that this is time consuming, and workload does not always allow for
this.
Many thanks,
Tracy
Tracy Huguenel, RGN, SCPHN (OH)
Deputy Head of Occupational Health
0845 155 3111 Ext 3982 / 3591
Fax 01268 534127
Tracy Huguenel contacted me to ask "what was the total number of cases
you used for this comparison please?"
136 in the accelerated group, far more in the old standard regime as had been doing this for years but I only went back over records for the past year or
so.
Unfortunately there was not enough time to compare other variables such as age, weight, smoking history.
I only included people who had kept to the schedule and we had some who had to be excluded due to a vaccine recall by the manufacturer (they had an additional
dose although we were advised that the recalled vaccine was unlikely to have any effect).
The reason for doing this was to forward plan our diaried work and decide whether this was as effective as the previous regime.
Regards
Heather Bearpark
Occupational Health Manager
RN, Specialist Community Public Health Nurse (OH), Cert IOSH
University of Huddersfield
Tel
+44 (0)1484 47 1800
Fax +44 (0)1484 47 3360
heather.[log in to unmask]
www.hud.ac.uk/oh
I am posting this to both HEOPS and OH JISC mail groups as I think it may be of interest to you in both NHS and HE settings. Apologies if you get this twice!
We did a fast and dirty comparison of seroconversion rates for the old schedule of 0,1,6 months and test at 4 - 6 weeks vs the new accelerated schedule 0, 1, 2 months + test at 4 - 6 weeks
after. I only included people who had stuck to the exact regime.
This is what we found:
After 3 doses accelerated there was 70% seroconversion to >100Iu and 24% achieved immunity at 10 - 99 Iu thus requiring a 4th dose of vaccine.
After 3 doses old standard course we achieved 80% > 100 Iu with a further 14% achieving 10 - 99 Iu on the same schedule.
Where the immune level was 10 - 99 Iu we gave a 4th dose and did not retest since 10 Iu is deemed as sufficient.
Our team evaluated this and felt that it was preferable to continue with the accelerated course as we can fit the students in more easily before they are lost out onto clinical placement.
This weighed up against having to give a 4th dose of vaccine to an additional 1 in 10 of them.
We also feel that we are getting better attendance rates when there is only one month between the appointments rather than the long 5 month break as previously so this has decreased the
admin workload.
Regards
Heather Bearpark
Occupational Health Manager
RN, Specialist Community Public Health Nurse (OH), Cert IOSH
University of Huddersfield
Tel
+44 (0)1484 47 1800
Fax +44 (0)1484 47 3360
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